Soong H Kaz, Malta João Baptista
Department of Ophthalmology and Visual Sciences, W. K. Kellogg Eye Center, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Am J Ophthalmol. 2009 Feb;147(2):189-197.e2. doi: 10.1016/j.ajo.2008.08.026. Epub 2008 Oct 18.
To provide an update and review of femtosecond (FS) lasers in clinical ophthalmology.
Perspective, literature review, and commentary.
Selected articles from the literature and the authors' clinical and laboratory studies.
The FS laser employs near-infrared pulses to cut tissue with minimal collateral tissue damage. Although its major use at present is in the cutting of laser in situ keratomileusis flaps, the laser has proven its versatility in laser-assisted anterior and posterior lamellar keratoplasty, cutting of donor buttons in endothelial keratoplasty, customized trephination in penetrating keratoplasty, tunnel creation for intracorneal ring segments, astigmatic keratotomy, and corneal biopsy. Current laboratory studies include all-FS laser refractive keratomileusis sans flap, cutting corneal pockets for insertion of biopolymer keratoprostheses, noninvasive transscleral glaucoma surgery, retinal imaging and photodisruption, presbyopia surgery, and anterior lens capsulorrhexis.
Advances in ultra-fast laser technology continue to improve the surgical safety, efficiency, speed, and versatility of FS lasers in ophthalmology.
对飞秒（FS）激光在临床眼科中的应用进行更新和综述。
观点阐述、文献综述及评论。
从文献以及作者的临床和实验室研究中选取文章。
飞秒激光利用近红外脉冲切割组织，对周围组织的损伤最小。尽管其目前主要用于制作准分子原位角膜磨镶术（LASIK）瓣，但该激光已在激光辅助前、后板层角膜移植术、内皮角膜移植术中切割供体植片、穿透性角膜移植术中定制环钻、角膜内环植入术的隧道创建、散光性角膜切开术以及角膜活检等方面证明了其多功能性。当前的实验室研究包括无瓣全飞秒激光屈光性角膜切削术、为植入生物聚合物角膜假体而切割角膜袋、无创性经巩膜青光眼手术、视网膜成像和光破碎、老花眼手术以及晶状体前囊撕开术。
超快激光技术的进展持续提高飞秒激光在眼科手术中的安全性、效率、速度和多功能性。
